Surgery Coordinator

Position Summary

This position is responsible for all aspects of scheduling surgery. Performs insurance verification and pre-certifications. It requires excellent communication skills, managed care organizations, physicians, hospital surgery scheduling departments, and outpatient surgery scheduling departments all while offering polite and professional customer service. Managing the physician’s daily calendar, including blocking doctors schedules when needed, confirming appointments, and daily reminders.

Essential Position Functions:

• Check & respond to emails.

• Check & return voicemails daily.

• At the decision for surgery, this employee will call the patient/parent to schedule a date for surgery and explain surgery protocols to them.

• Will schedule pre and postoperative appointments.

• Prepares surgery information packets and emails surgery information to parents.

• Answers all patient/parent questions regarding surgery or procedures to ensure compliance and patient satisfaction or route it to the appropriate person.

• Notifies parent of insurance benefits, any amount due to North Fulton ENT prior to surgery date.

• Verifies all surgeries and procedures with the insurance plan.

• Obtains precertification’s for surgery and procedures if required.

• Maintains records of all verified surgeries and procedures to provide to the reimbursement department.

• Stays current with carrier requirements to ensure all are met in order to maximize our potential for reimbursement.

• Ensures that appropriate procedure and diagnosis coding is utilized in the precertification and verification process and questions physicians to ensure accuracy and completeness of the information.

• Coordinates cases with other North Fulton ENT physicians and/or other surgeons outside of this practice.

• Obtains Op Reports for physicians to review after surgery.

This position also requires the candidate to assist physicians for in office-procedures, cross-trained to fill in as needed in the MA roles in Roswell and Cumming.